460 Gardner (09-22-19 - 10-19-19)_R

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Recipient Committee Campaign Statement Cover Page 1. Type of Recipient Committee IN Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall F-1 General Purpose Committee Statement covers period from 09/22/2019 through 10/19/2019 E] Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored 0 Sponsored F] Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee I.D. Number 1256312 3. Committee Information I COMMITTTEE NAME Mike Gardner for City Council Ward 1 2019 Date of Election if applicable 11/05/2019 (Month, Day, Year) INER IQ, 2. Type of Statement N Pre-election Statement E] Semi -Annual Statement E] Termination Statement F1 Amendment Treasurer(s) NAME OF TREASURER Mike Gardner STREETAIDDRESS COVERPAGE Page I of 7 Use R Quarterly Statement E] Special Odd -Year Statement Supplemental Pre-election Statement - Attach Form 495 STREET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Riverside CA CITY STATE ZIPCODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Riverside CA MAILING ADDRESS (IF DIFFERENT) STREETAIDDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing aiid reviewing this statement and to the best of my knowledge the information contained herein is true and complete. I certify under penalty of perjury under the I State of California that the foregoing is true and correct. Executedon By _ Executed on By SIGNATURE OF TREASURER OR ASSISTANT TREASURER SIG CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT Executed on By SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT FPPC Form 460 -(JAN/2016) State of California/Sl